<%@ page language="java" contentType="text/html; charset=UTF-8"
	pageEncoding="UTF-8"%>
<%@ taglib uri="http://java.sun.com/jstl/core" prefix="c"%>
<!DOCTYPE html>
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<LINK rel="stylesheet" type="text/css" href=<c:url value="/design.css"/>>
<link rel="icon" type="image/png" href="<c:url value="/pics/design/favicon.ico"/>" />
<title>Inscription - Nerd Shop</title>
</head>
<jsp:include page="/header.jsp" />
<body>
<p id="inscription_error"><c:out value="${affichage.error}"/></p>
	<form action=<c:url value="/inscription"/> method="post">
	<table>
		<tr><td><label for="nom">Nom : </label></td><td> <input type="text" name="nom" /></td></tr>
		<tr><td><label for="prenom">Prénom : </label></td><td>  <input type="text" name="prenom" /> </td></tr>
		<tr><td><label for="date">Date de naissance (jj/mm/yyyy) : </label></td><td>  <input type="text" name="date" /></td></tr>
		<tr><td><label for="sexe">Sexe : </label></td><td>  <input type="radio" name="sexe" value="Femme"> Femme <input type="radio" name="sexe" value="Homme"> Homme </td></tr>
		<tr><td><label for="mail">Adresse mail : </label></td><td>  <input type="text" name="mail" /></td></tr>
		<tr><td><label for="mailconfirm">Confirmation adresse mail : </label></td><td>  <input type="text" name="mailconfirm" /></td></tr>
		<tr><td><label for="password">Mot de passe (8 caractères minimum) : </label></td><td>  <input type="password" name="password" /> </td></tr>
		<tr><td><label for="passwordconfirm">Confirmation mot de passe : </label></td><td>  <input type="password" name="passwordconfirm" /> </td></tr>
		<tr><td><label for="telephone">Telephone (au format 0123456789) : </label></td><td>  <input type="text" name="telephone" /> </td></tr>
		<tr><td><label for="numero">Numero : </label></td><td>  <input type="text" name="numero" /> </td></tr>
		<tr><td><label for="complementnumero">Complement numero : </label></td><td>  <input type="text" name="complementnumero" /> </td></tr>
		<tr><td><label for="rue">Rue : </label></td><td>  <input type="text" name="rue" /> </td></tr>
		<tr><td><label for="codepostal">Code postal : </label></td><td>  <input type="text" name="codepostal" /> </td></tr>
		<tr><td><label for="ville">Ville : </label></td><td>  <input type="text" name="ville" /> </td></tr>
		<tr><td><label for="departement">Departement : </label></td><td>  <input type="text" name="departement" /> </td></tr>
		<tr><td><label for="region">Region : </label></td><td>  <input type="text" name="region" /> </td></tr>
		</table>
		<input type="checkbox" name="cgu" value="1"/> <label for="cgu">J'accepte les conditions générales d'utilisation</label>
		<input type="submit" value="s'inscrire" />
	</form>
</body>
<jsp:include page="/footer.jsp" />
</html>
